Decourcey, Jessica

Decourcey, Jessica is an individual health care provider with primary practice located at 3 Curtis Rd , Vernon NY 13476-3607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Decourcey, Jessica can be contacted via phone (315) 829-2220.

Contact Information

Primary practice address
3 Curtis Rd Vernon NY 13476-3607
Phone: (315) 829-2220
Fax: (315) 829-3955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 024100 New York

Profile Details

NPI number 1609431006
LBN Legal business name Decourcey, Jessica
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated Oct 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609431006 NPPES
New York MEDICAID 5921779

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